Where is the skilled project management?
Experience across both the states and federal government shows the health care sites are tough to get up and running properly. Blaming only a high profile sub, but not the prime, contractor, as the Minnesota governor did, is scapegoating. You'd almost think a company is foolish for taking on the job, except for those large payouts involved. Good project management would at least keep tabs on progress and be able to single out those subcontracters who aren't meeting their responsibilties. But that too seems to be in short supply.